Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.20 / $57.20 / $57.20	Facility		$57.20	$57.20	$57.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.57 / $53.80 / $57.20	Professional		$49.57	$53.80	$57.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.60 / $302.04 / $550.12	Facility		$151.60	$302.04	$550.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.15 / $100.16 / $135.22	Professional		$95.15	$100.16	$135.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.33 / $63.80 / $65.09	Facility		$60.33	$63.80	$65.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $80.13 / $80.13 / $80.13	Professional		$80.13	$80.13	$80.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.85 / $53.85 / $53.85	Facility		$53.85	$53.85	$53.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $83.27 / $145.31	Professional		$39.31	$83.27	$145.31
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $57.20 / $72.36 / $72.36	Facility		$57.20	$72.36	$72.36
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $51.75 / $72.36 / $105.16	Professional		$51.75	$72.36	$105.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $74.12 / $85.23	Professional		$63.00	$74.12	$85.23
United Facility/Professional Professional Modifier Low / Median / High Price $33.65 / $47.03 / $71.68	Professional		$33.65	$47.03	$71.68